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New research · Pulmonology & Critical Care
Clinical and experimental emergency medicine · 23h
GuidelineClinical and experimental emergency medicine · 2026

2025 Korean Guidelines for Cardiopulmonary Resuscitation: Part 6. Post-cardiac arrest care.

Hyo Jin Bang, Chun Song Youn, Min Chul Kim … Sung Phil Chung
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Pulmonology & Critical CareGuideline

Maintain target temperature for at least 24 hours in comatose survivors after cardiac arrest.

2025 Korean Guidelines for Cardiopulmonary Resuscitation: Part 6. Post-cardiac arrest care.

Hyo Jin Bang et al. · Clinical and experimental emergency medicine · 2026
Purpose

Respiratory management aims to minimize secondary brain injury by preventing hypoxemia and hyperoxemia.

Methods

Recommendations were informed by recent randomized controlled trials and systematic reviews, with an emphasis on patient-centered outcomes and practical clinical applications.

at least 24 hours
Results
the minimum time to maintain desired body temperature for unconscious patients
More results

This guideline summarizes evidence-based post-cardiac arrest care following the return of spontaneous circulation (ROSC) in adults, incorporating updates from the 2025 Korean Guidelines for Cardiopulmonary Resuscitation and contemporary international evidence.

After ROSC, early evaluation should focus on identifying reversible causes.

More results

A 12-lead electrocardiogram should be obtained promptly, with echocardiography and whole-body computed tomography performed when clinically indicated to assess cardiac function and detect noncardiac or occult etiologies.

Hemodynamic management prioritizes adequate organ perfusion and prompt treatment of shock, including active correction of hypotension.

“
Conclusion

Neuroprognostication should use a multimodal approach after confounders, such as sedation and temperature management, are addressed, integrating clinical examination, electrophysiology, biomarkers, and neuroimaging to support individualized decision-making.

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